Collins, Samuel Deon

Collins, Samuel Deon is an sole proprietor health care provider with primary practice located at 19404 Morris Ave , Manvel TX 77578. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Collins, Samuel Deon can be contacted via phone (404) 370-2510.

Contact Information

Primary practice address
19404 Morris Ave Manvel TX 77578
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 28595 Texas
Dental Providers / Dentist 122300000X 28595 Texas

Profile Details

NPI number 1447294996
LBN Legal business name Collins, Samuel Deon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jun 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447294996 NPPES
Texas Other 5620 MCNA

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